Optimizing landing mechanics to modulate patellar tendon loading: An individualized moment arm analysis

Single-leg landing (SL) imposes substantial mechanical demand on the patellar tendon, with peak patellar tendon force (PPTF) serving as a key metric for characterizing the internal mechanical environment of the tendon. This study integrates 3D modeling with high-resolution in vivo kinematics to quantify the patellar tendon moment arm (PTMA) and the PPTF, examining their biomechanical correlations and neuromuscular features. Minimal sex-related PTMA differences suggest comparable anatomical leverage during knee flexion across both sexes. In both sexes, PPTF was significantly positively correlated with the knee flexion angle at initial contact (IC) and significantly negatively correlated with the knee range of motion (ROM). Muscle network analysis showed lower clustering coefficients in high-frequency versus low-frequency bands. Reduced IC knee flexion and increased ROM attenuate patellar tendon mechanical demand. By incorporating individualized moment-arm analysis, this study provides a biomechanical basis for understanding patellar tendon loading during landing.